Space GlucoseControl system for blood glucose control in intensive care patients:a European multicentre observational study

BACKGROUND: Glycaemia control (GC) remains an important therapeutic goal in critically ill patients. The enhanced Model Predictive Control (eMPC) algorithm, which models the behaviour of blood glucose (BG) and insulin sensitivity in individual ICU patients with variable blood samples, is an effective, clinically proven computer based protocol successfully tested at multiple institutions on medical and surgical patients with different nutritional protocols. eMPC has been integrated into the B.Braun Space GlucoseControl system (SGC), which allows direct data communication between pumps and microprocessor. The present study was undertaken to assess the clinical performance and safety of the SGC for glycaemia control in critically ill patients under routine conditions in different ICU settings and with various nutritional protocols. METHODS: The study endpoints were the percentage of time the BG was within the target range 4.4 – 8.3 mmol.l(−1), the frequency of hypoglycaemic episodes, adherence to the advice of the SGC and BG measurement intervals. BG was monitored, and insulin was given as a continuous infusion according to the advice of the SGC. Nutritional management (enteral, parenteral or both) was carried out at the discretion of each centre. RESULTS: 17 centres from 9 European countries included a total of 508 patients, the median study time was 2.9 (1.9-6.1) days. The median (IQR) time–in–target was 83.0 (68.7-93.1) % of time with the mean proposed measurement interval 2.0 ± 0.5 hours. 99.6 % of the SGC advices on insulin infusion rate were accepted by the user. Only 4 episodes (0.01 % of all BG measurements) of severe hypoglycaemia <2.2 mmol.l(−1) in 4 patients occurred (0.8 %; 95 % CI 0.02-1.6 %). CONCLUSION: Under routine conditions and under different nutritional protocols the Space GlucoseControl system with integrated eMPC algorithm has exhibited its suitability for glycaemia control in critically ill patients. TRIAL REGISTRATION: ClinicalTrials.gov NCT0152366

Properties of ρ\rho and ω\omega Mesons at Finite Temperature and Density as Inferred from Experiment

The mass shift, width broadening, and spectral density for the $\rho$ and $\omega$ mesons in a heat bath of nucleons and pions are calculated using a general formula which relates the self-energy to the real and imaginary parts of the forward scattering amplitude. We use experimental data to saturate the scattering amplitude at low energies with resonances and include a background Pomeron term, while at high energies a Regge parameterization is used. The real part obtained directly is compared with the result of a dispersion integral over the imaginary part. The peaks of the spectral densities are little shifted from their vacuum positions, but the widths are considerably increased due to collisional broadening. Where possible we compare with the UrQMD model and find quite good agreement. At normal nuclear matter density and a temperature of 150 MeV the spectral density of the $\rho$ meson has a width of 345 MeV, while that for the $\omega$ is in the range 90--150 MeV.Comment: 21 pages revtex + 9 postscript figure

Transcriptional landscape of the human and fly genomes: Nonlinear and multifunctional modular model of transcriptomes

Regions of the genome not coding for proteins or not involved in cis-acting regulatory activities are frequently viewed as lacking in functional value. However, a number of recent large-scale studies have revealed significant regulated transcription of unannotated portions of a variety of plant and animal genomes, allowing a new appreciation of the widespread transcription of large portions of the genome. High-resolution mapping of the sites of transcription of the human and fly genomes has provided an alternative picture of the extent and organization of transcription and has offered insights for biological functions of some of the newly identified unannotated transcripts. Considerable portions of the unannotated transcription observed are developmental or cell-type-specific parts of protein-coding transcripts, often serving as novel, alternative 5′ transcriptional start sites. These distal 5′ portions are often situated at significant distances from the annotated gene and alternatively join with or ignore portions of other intervening genes to comprise novel unannotated protein-coding transcripts. These data support an interlaced model of the genome in which many regions serve multifunctional purposes and are highly modular in their utilization. This model illustrates the underappreciated organizational complexity of the genome and one of the functional roles of transcription from unannotated portions of the genome. Copyright 2006, Cold Spring Harbor Laboratory Press © 2006 Cold Spring Harbor Laboratory Press

Partial-wave analysis of the eta pi+ pi- system produced in the reaction pi-p --> eta pi+ pi- n at 18 GeV/c

A partial-wave analysis of 9082 eta pi+ pi- n events produced in the reaction pi- p --> eta pi+ pi- n at 18.3 GeV/c has been carried out using data from experiment 852 at Brookhaven National Laboratory. The data are dominated by J^{PC} = 0^{-+} partial waves consistent with observation of the eta(1295) and the eta(1440). The mass and width of the eta(1295) were determined to be 1282 +- 5 MeV and 66 +- 13 Mev respectively while the eta(1440) was observed with a mass of 1404 +- 6 MeV and width of 80 +- 21 MeV. Other partial waves of importance include the 1++ and the 1+- waves. Results of the partial wave analysis are combined with results of other experiments to estimate f1(1285) branching fractions. These values are considerably different from current values determined without the aid of amplitude analyses.Comment: 22 pages, 8 figure

Observation of exotic meson production in the reaction π−p→η′π−p \pi^{-} p \to \eta^{\prime} \pi^- p at 18 GeV/c

An amplitude analysis of an exclusive sample of 5765 events from the reaction $\pi^{-} p \to \eta^{\prime} \pi^- p$ at 18 GeV/c is described. The $\eta^{\prime} \pi^-$ production is dominated by natural parity exchange and by three partial waves: those with $J^{PC} = 1^{-+}, 2^{++},$ and $4^{++}$. A mass-dependent analysis of the partial-wave amplitudes indicates the production of the $a_2(1320)$ meson as well as the $a_4(2040)$ meson, observed for the first time decaying to $\eta^{\prime}\pi^-$. The dominant, exotic (non-$q\bar{q})$ $1^{-+}$ partial wave is shown to be resonant with a mass of $1.597 \pm 0.010^{+0.045}_{-0.010}$ GeV/c^2 and a width of $0.340 \pm 0.040 \pm 0.050$ GeV/c^2 . This exotic state, the $\pi_1(1600)$, is produced with a $t$ dependence which is different from that of the $a_2(1320)$ meson, indicating differences between the production mechanisms for the two states.Comment: 5 pages with 4 figure

A partial wave analysis of the π0π0\pi ^0\pi ^0 system produced in π−p\pi ^-p charge exchange collisions

A partial wave analysis of the of the $\pi ^0\pi ^0$ system produced in the charge exchange reaction: $\pi ^-p\to \pi ^0\pi ^0n$ at an incident momentum of $18.3 GeV/c$ is presented as a function of ${\pi ^0\pi ^0}$ invariant mass, $m_{\pi^0\pi^0}$, and momentum transfer squared, $| {t} |$, from the incident $\pi^-$ to the outgoing ${\pi ^0\pi ^0}$ system.Comment: 24 pages total,8 pages text, 14 figures, 1 table. Submitted to Phys Rev

Photoproduction of phi(1020) mesons on the proton at large momentum transfer

The cross section for $\phi$ meson photoproduction on the proton has been measured for the first time up to a four-momentum transfer -t = 4 GeV^2, using the CLAS detector at the Thomas Jefferson National Accelerator Facility. At low four-momentum transfer, the differential cross section is well described by Pomeron exchange. At large four-momentum transfer, above -t = 1.8 GeV^2, the data support a model where the Pomeron is resolved into its simplest component, two gluons, which may couple to any quark in the proton and in the $\phi$.Comment: 5 pages; 7 figure

Evidence for Exotic J^{PC}=1^{-+} Meson Production in the Reaction pi- p --> eta pi- p at 18 GeV/c

Details of the analysis of the eta pi- system studied in the reaction pi^{-} p --> eta pi^{-} p at 18 GeV/c are given. Separate analyses for the 2 gamma and pi+ pi- pi0 decay modes of the eta are presented. An amplitude analysis of the data indicates the presence of interference between the a(2)(1320)- and a J^{PC}=1^{-+} wave between 1.2 and 1.6 GeV/c^2. The phase difference between these waves shows phase motion not attributable solely to the a(2)(1320)-. The data can be fitted by interference between the a(2)(1320)- and an exotic 1^{-+} resonance with M = 1370 +-16 +50 -30} MeV/c^2 and Gamma = 385 +- 40 +65 -105 MeV/c^2. Our results are compared with those of other experiments.Comment: 50 pages of text and 34 figure

Q^2 Dependence of the S_{11}(1535) Photocoupling and Evidence for a P-wave resonance in eta electroproduction

New cross sections for the reaction $ep \to e'\eta p$ are reported for total center of mass energy $W$=1.5--2.3 GeV and invariant squared momentum transfer $Q^2$=0.13--3.3 GeV$^2$. This large kinematic range allows extraction of new information about response functions, photocouplings, and $\eta N$ coupling strengths of baryon resonances. A sharp structure is seen at $W\sim$ 1.7 GeV. The shape of the differential cross section is indicative of the presence of a $P$-wave resonance that persists to high $Q^2$. Improved values are derived for the photon coupling amplitude for the $S_{11}$(1535) resonance. The new data greatly expands the $Q^2$ range covered and an interpretation of all data with a consistent parameterization is provided.Comment: 31 pages, 9 figure

Nucleonic resonance excitations with linearly polarized photon in γp→ωp\gamma p\to \omega p

In this work, an improved quark model approach to the $\omega$ meson photo-production with an effective Lagrangian is presented. The {\it t}-channel {\it natural}-parity exchange is taken into account through the Pomeron exchange, while the {\it unnatural}-parity exchange is described by the $\pi^0$ exchange. With a very limited number of parameters, the available experimental data in the low energy regime can be consistently accounted for. We find that the beam polarization observables show sensitivities to some {\it s}-channel individual resonances in the $SU(6)\otimes O(3)$ quark model symmetry limit. Especially, the two resonances $P_{13}(1720)$ and $F_{15}(1680)$, which belong to the representation $[{\bf 56, ^2 8}, 2, 2, J]$, have dominant contributions over other excited states. Concerning the essential motivation of searching for "missing resonances" in meson photo-production, this approach provides a feasible framework, on which systematic investigations can be done.Comment: 16 pages, Revtex, 9 eps figures, to appear in PR